Active NPI
Eileen Huttlin Kirtane, MD
- Psychiatry Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 77714
- Practice address
- 410 Church St SE
Minneapolis, MN 55455-0222 - Phone
- (612) 625-8400
- Fax
- (612) 677-3211
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 77714 | MN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 267399 | MA | |
| Psychiatry Physician | 2084P0800X | 278696 | MA |
Addresses
Primary practice location
410 Church St SE
Minneapolis, MN 55455-0222
Mailing address
410 Church St SE
Minneapolis, MN 55455-0222
Phone (612) 625-8400
Other practice location 1
25 Carleton St
Cambridge, MA 02142-1323
Phone (617) 253-4481
Other names 1
- Eileen Huttlin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278696 | MA | MD | Psychiatry Physician |
| 77714 | MN | MD | Psychiatry Physician |
| 267399 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients |
Locations
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583
26 Central St
Somerville, MA 02143
Phone (617) 591-6033
410 Church St SE
#W235
Minneapolis, MN 55455
410 Church St SE
Minneapolis, MN 55455
Phone (612) 625-8400
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Student Health Clinic/Center
- Minneapolis, MN
- NPI 1013137355
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
-
- Clinic Pharmacy
- Minneapolis, MN
- NPI 1528288875
-
- Psychiatric Hospital Unit
- Cambridge, MA
- NPI 1447348313
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1154784098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CHURCH ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550222",
"telephone_number": "612-625-8400",
"fax_number": "612-677-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CHURCH ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550222",
"telephone_number": "612-625-8400",
"fax_number": "612-677-3211"
}
],
"practiceLocations": [
{
"address_1": "25 Carleton St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021421323",
"country_code": "US",
"telephone_number": "617-253-4481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTTLIN KIRTANE",
"first_name": "EILEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "77714",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "267399",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "278696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EILEEN",
"last_name": "HUTTLIN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.